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PROVIDER PROFILE · NPI 1003391905

NPI 1003391905

CROSS-REFERENCE

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ProviderScore
OIG/SAM exclusion screening, sanctions history
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FACILITY AFFILIATIONS

Hospital & Facility Affiliations (2)

CCN 010016
Hospital
CCN 010103
Hospital
PRESCRIBING · PART D · 2024
No data available for this provider in 2024.
MEDICARE UTILIZATION · PART B · 2024
No data available for this provider in 2024.
QUALITY · MIPS · 2024
Final MIPS score
95.0
Quality
74.3
Cost
82.9
Improvement activities
40.0
Promoting interop.
100.0
Payment adjustment
0.84%
Group
INDUSTRY PAYMENTS · OPEN PAYMENTS · 2024
Total received
$428
Payment records
6
By payment type
Food and Beverage$428